Exam (elaborations)
NUR 109 FINAL EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 100%VERIFIED ANSWERS GUARANTEED PASS ALREADY PASSED
- Course
- NUR 109
- Institution
- Excelsior College
QUESTIONS AND ANSWERS
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By: DYNAMICSCORES • 4 months ago
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NUR 109 FINAL EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2023/2024 100%VERIFIED ANSWERS GUARANTEED PASS • The nurse is teaching a patient being discharged with a long leg cast. Which of the following instructions is appropriate? a. Keep plaster casts covered until thoroughly dry. b. Apply lotion under cast edges to lubricate the skin. c. Elevate the cast above the level of the heart whenever possible . d. Put talcum powder down the cast to prevent perspiration. • Ms. R. is a 40 year old woman who underwent total hip replacement. Which of the following activities would be appropriate for Ms. R. after discharge? a. Sitting in only a low chair b. Resuming all ADLs as soon as possible c. Sitting at least 8 hours a day d. Putting a pillow between her legs when sleeping • Ms. K’s right knee appears to be swollen. To further evaluate this, the nurse should first: a. put the knee through range of motion. b. test muscle strength. c. compare it to the left knee. d. palpate for crepitus. • Ms. E. is a 78 year old woman who was admitted with an impacted right hip. She was placed in traction. When caring for a patient in traction, the nurse is guided by which principle? a. Weights should rest on the bed b. Knots in the ropes should touch the pulley c. Weights are removed routinely d. Skeletal traction is never interrupted • The nurse is assessing the patient for the presence of a Chvostek’s sign. What electrolyte imbalance does a positive Chvostek’s sign indicate? a. Hypermagnesemia b. Hypercalcemia c. Hypocalcemia d. Hyperkalemia The next 9 question will show your ability to analyze ABG (arterial blood gas) results. Some questions will give preview information. • A patient has arrived at the ER complaining to tingling in her face, hands, and eet. She stated she feels “light -headed” and has been studying for NUR 109 Final Exam for 3 straight days. Assessments reveals BP 165/110, HR 124, RR 36, skin clammy and pale. ABG’s: pH = 7.49, PaCO2 = 31, HCO3 = 19 a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic acidosis d. Metabolic alkalosis • You are an ER nurse caring for a trauma patient. Your patient has the following arterial blood gas results: pH = 7.26, PaCO2 = 28, HCO3 = 11 mEq/L. How would you interpret these results? a. Respiratory acidosis with no compensation b. Metabolic alkalosis with a compensatory alkalosis c. Metabolic acidosis with no compensation d. Metabolic acidosis with a compensatory alkalosis • A patient in the ICU starts complaining of being “short of breath.” An arterial blood gas (ABG) is drawn. The ABG has the following values: pH = 7.21, PaCO2 = 64, HCO3 = 24. What does the ABG reflect? a. Respiratory acidosis b. Metabolic alkalosis c. Respiratory alkalosis d. Metabolic acidosis • An 16 -year-old female is admitted through the ER semi -conscious, RR = 56, fruity breath, diaphoretic pale skin, blood glucose is 740, and ketones in her urine. ABG results show pH = 7.21, PaCO2 = 35, and HCO3 = 14. What does the ABG reflect? a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic acidosis d. Metabolic alkalosis • Interpret theses ABG’s: pH = 7.36, PaCO2 = 56, pO2 = 90, HCO3 = 20. a. Respiratory acidosis, partially compensated b. Respiratory alkalosis, partially compensated c. Metabolic acidosis, fully compensated d. Metabolic alkalosis, fully compensated • An 83-year-old female was found by her daughter in distress. She calls 911. When the EMTs arrive they assess her breathing and airway, do and EKG, obtain ABGs, and questions the daughter. The patient has been taking Oxycodone for back pain and a sleeping pill at night. Assessment reveals lethargic, unresponsive patient. RR = 5, BP = 80/40, MAP = 53, HR = 45. ABG results: pH = 7.12, PaCO2 = 64, pO2 = 68, HCO3 = 24. Interpretation of these ABG results is: a. respiratory acidosis, uncompensated. b. respiratory acidosis, fully compensated. c. respiratory alkalosis, uncompensated. d. respiratory alkalosis, partially compensated. • What do you suspect will be immediate treatment plans for the patient in the above scenario? a. Establishment of IV and bolus of 1000 mls of NS b. Intubation and oxygenation c. Blood transfusion d. Administration of sublingual nitroglycerin • Analyze these ABGs: pH = 7.37, PaCO2 = 43, HCO3 = 23. a. Metabolic acidosis b. Respiratory alkalosis c. Normal d. Respiratory acidosis • A student has been experiencing severe gastric burning and consistently takes TUMS antacids for this discomfort. He states “as long as I keep popping the TUMS, then burning is better.” During a physical exam these ABG results were drawn: pH = 7.49, PaCO2 = 39, HCO3 = 37. Interpretation of theses ABGs is:
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